Practical and operative gynecology / by J. Clarence Webster.

  • John Clarence Webster
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Practical and operative gynecology / by J. Clarence Webster. Source: Wellcome Collection.

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    abdomen and pelvis have been fully worked out by Simpson and Hart.) If the perineum be held back by a finger, and the light from a window or an artificial light be reflected into the vagina, its walls and the vaginal portion of the cervix may be well seen. (b) If the patient, while in the lithotomy position, have her hips elevated somewhat, and the introitus be opened, air rushes in and distends the vagina, while the uterus gravitates towards the promontory. By means of a reflected light the cavity may be examined while the labia are separated and the perineum is pulled back. Rectum.—(a) Digital 7/iethod.—I have already described the method of examination by means of a finger. (Simon has recommended the introduction of the whole hand. Such a barbarous method is never necessary, and must be condemned.) (b) Storer's method.—The patient is placed on her side with her knees drawn up, her buttocks being opposite the source of light. One or two fingers are passed into the vagina, and pressure is made downwards and backwards through the posterior vaginal wall; if, at the same time, the anus be opened with the fingers of the other hand, the anterior rectal mucosa can be everted and made visible. (c) Hart's tnethod.—The patient is placed in the litho- tomy position, and the pelvis elevated somewhat. If the anus be opened with the fingers or with retractors, the air rushes in, dilating the lower part of the rectum. The walls may be examined by means of sunlight, or by reflected artificial light. (d) Genii-pectoral position.—In this position, if the anus be opened, the air rushes in, distending the rectum. If the